Diagnosis and classification of von Willebrand disease

2011 ◽  
Vol 22 (7) ◽  
pp. 553-564 ◽  
Author(s):  
Emmanuel J. Favaloro
Author(s):  
Marika Pikta

Accurate diagnosis and classification of von Willebrand disease are essential for optimal management.  The von Willebrand factor multimers analysis is in the phenotypic classification, especially in discrepant cases, an integral part of the diagnostic process. The aim of this study was to evaluate the performance of a new Hydragel 11VWF multimer assay (H11VW). Results: Comparison study did not reveal any significant difference between H5VW and H11VW.  The assessment of within-subject results, using H5VW and H11VW, demonstrates the reproducibility of the method in both healthy and VWD patients’ samples collected over time, with identical multimeric pattern on densitometric curves.Conclusion: This assay demonstrated acceptable performance, produced within-day results and can be used in routine practice for the visual investigation of gel and quantitative estimation of VWF multimer fractions.


2001 ◽  
Vol 14 (2) ◽  
pp. 281-298 ◽  
Author(s):  
Reinhard Schneppenheim ◽  
Ulrich Budde ◽  
Zaverio M. Ruggeri

Haemophilia ◽  
1999 ◽  
Vol 5 (s2) ◽  
pp. 46-49 ◽  
Author(s):  
L. Holmberg ◽  
S. Lethagen

1994 ◽  
Vol 71 (04) ◽  
pp. 520-525 ◽  
Author(s):  
J Evan Sadler

SummaryA simplified phenotypic classification of von Willebrand disease is proposed that is based on differences in pathophysiology. Quantitative defects arc divided into partial deficiency (type 1) and severe deficiency (type 3). Qualitative defects (type 2) are divided into four subcategories. Type 2A refers to variants with decreased platelet-dependent function associated with the loss of high-molecular weight VWF multimers. Type 2B refers to variants with increased affinity for platelet glycoprotein lb. Type 2M refers to qualitatively abnormal variants with decreased platelet-dependent function not associated with the loss of high-molecular weight multimers. Type 2N refers to variants with decreased affinity for factor VIII. When recognized, mixed phenotypes caused by compound heterozygosity are indicated by separate classification of each allele. Standard amino acid and nucleotide numbering schemes are recommended for the description of mutations.


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